Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $2,951.21	Professional		$1,023.29	$2,630.27	$2,951.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,737.80	Professional		$1,548.82	$1,548.82	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $6,025.60	Facility		$4,073.80	$4,073.80	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,981.07	Professional		$1,819.70	$1,819.70	$3,981.07